印度儿童患者恒牙根管治疗后的根管治疗后疼痛
Post-endodontic pain following root canal treatment in permanent teeth among Indian paediatric patients.
作者信息
Khan Sajid, Chauhan Arunendra Singh, Haider Khushtar, Ali Saima, Shakarwal Parul, Chauhan Akriti
机构信息
Department of Pedodontics and Preventive Dentistry, Career Dental College, Lucknow, Uttar Pradesh, India.
Conservative Dentistry and Endodontics, Inderprastha Dental college, Ghaziabad, Uttar Pradesh, India.
出版信息
Bioinformation. 2024 May 31;20(5):571-574. doi: 10.6026/973206300200571. eCollection 2024.
Pulp status in permanent teeth and post endodontic pain (PEP) has not been assessed properly in pediatric patients. Therefore, it is of interest to assess the prevalence, severity of PEP in permanent teeth after root canal therapy and retreatment in paediatric patients. Hence, 127 pediatric patients who had root canal therapy (RCT) for permanent teeth with necrotic pulp, vital pulporendodonticre treatment were considered. Assessment of incidence intensity of PEP at 6 hours and 18 hours after therapy was completed. The incidence and intensity of PEP in permanent teeth in paediatric patients was greater in teeth with vital pulp. It was low in teeth with necrotic pulp. The incidence of spontaneous PEP was greater in all treatment groups as compared to stimulated PEP at 6 hours after treatment. Thus, root canal therapy of teeth with viable pulp produced a noticeably greater incidence and intensity of PEP in permanent teeth in paediatric patients.
儿童患者恒牙的牙髓状态和根管治疗后疼痛（PEP）尚未得到恰当评估。因此，评估儿童患者根管治疗和再治疗后恒牙中PEP的患病率及严重程度具有重要意义。为此，研究纳入了127例因恒牙牙髓坏死接受根管治疗（RCT）、牙髓活力保存治疗或牙髓根尖周再治疗的儿童患者。在治疗完成后6小时和18小时评估PEP的发生强度。儿童患者恒牙中PEP的发生率和强度在牙髓活力正常的牙齿中更高，在牙髓坏死的牙齿中较低。与治疗后6小时的激发性PEP相比，所有治疗组中自发性PEP的发生率更高。因此，儿童患者恒牙中，牙髓活力正常的牙齿进行根管治疗后，PEP的发生率和强度明显更高。
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